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Billing & Insurance at PrimeCare Orthotics & Prosthetics

At PrimeCare Orthotics & Prosthetics, we're dedicated to providing you with the support and guidance you need to ensure a smooth billing process. Our goal is to minimize your out-of-pocket expenses and offer transparent information about insurance verification, estimated costs, your financial responsibility, and available payment options.

Navigating Insurance

a man with a prosthetic goes down the stairs.

We understand that navigating the insurance process can be complex and overwhelming. At PrimeCare Orthotics & Prosthetics, we're committed to helping our patients navigate their insurance coverage smoothly. Here are some key points to help you understand and navigate the insurance process and your insurance benefits effectively.

  • Insurance Verification Process

    When you choose PrimeCare Orthotics & Prosthetics for your orthotic and prosthetic device needs, our team will handle the insurance verification process on your behalf. We'll work closely with your insurance company to verify your coverage and determine the benefits available to you. Our experienced staff is well-versed in dealing with insurance providers and insurance claims, ensuring a streamlined verification process.

    • Accepted Insurance Providers

      PrimeCare is contracted with most prosthetics insurance plans, including HMOs and PPOs. Some of the health insurance providers we work with include but aren't limited to:

      • Wellcare by Allwell;
      • Western Sky;
      • Ambetter;
      • Blue Cross Blue Shield;
      • Humana;
      • Medicare;
      • NM Medicaid;
      • Molina;
      • Presbyterian;
      • UMR;
      • United Healthcare;
      • WellMed;
      • Tricare;
      • Humana;

      If your insurance provider isn't listed, please contact our team! We're continually working to expand our network and may be able to accommodate your coverage.

    • Medicare Coverage

      We understand the importance of adhering to any requirements or limitations set forth by Medicare, and we'll answer your questions regarding eligibility, bills, deductibles, and Medicare notices to ensure you receive the care you deserve. To learn more about Medicare, visit www.medicare.gov or www.medicareadvocacy.org.​​

    • Commercial Insurance Plans

      PrimeCare Orthotics & Prosthetics partners with various commercial insurance plans. We have established relationships with major insurance companies that enable us to offer a broad range of prosthetic insurance coverage options for our patients. Whether you have an HMO or PPO plan, we strive to maximize your benefits and minimize your out-of-pocket expenses. Our team will work closely with your commercial insurance provider to verify your coverage and explore the available benefits for needed external prosthetic devices.

    Seamless Insurance & Payment Experience

    Discover affordable care and secure your financial peace of mind. Schedule a consultation today!

    A grandfather with a prosthesis walks with his grandchildren.

    Billing & Payment Options

    At PrimeCare Orthotics & Prosthetics, we offer various payment options to ensure flexibility and convenience in meeting your financial obligations. We understand that each patient's situation is unique, and we strive to accommodate your needs.

    Bill Pay

    For your convenience, we now provide a secure, easy-to-use payment portal. You can create an account to set up auto-payments and see e-statements and payment history, or pay as a guest. We also accept payments over the phone or in person with Apple Pay, Visa, and Mastercard.

    Make Payment

    If you'd like to pay over the phone, call (575) 237-8506.

    Financing Options

    For patients seeking additional financial assistance, we offer information about patient financing options through third-party healthcare financing companies. We can provide guidance and connect you with these financing options. This enables you to receive the necessary orthotics and prosthetics services while managing your payments without stress.

    Reimbursement

    The amount of insurance coverage available depends on your specific healthcare plan. In almost all cases, you'll be expected a percentage out of pocket at the time of your device delivery. However, PrimeCare will work to get the highest coverage possible under your plan.

    If you’re not with a network provider, you may be responsible for a larger percentage of the cost, subject to the out-of-network rate set by your insurance plan. Once you provide us with your insurance plan, our staff will verify your benefits to determine the amount of coverage available to you.

    Since our orthotic and prosthetic devices are custom-made, they're non-refundable. Keep in mind that most patients need time to wear their new prosthesis devices. You're also eligible for free modifications and adjustments up to 90 days after the date of purchase.

    Areas We Serve

    Secure Your Financial Journey with PrimeCare Orthotics & Prosthetics

    If you have any additional questions or concerns regarding insurance, payment, prior authorization, or any other aspect of your orthotics and prosthetics services, please don't hesitate to contact our team. We're here to provide you with the information and support you need.

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    FAQ

    • What if my insurance provider is not listed?

      If your insurance provider isn't listed among our accepted insurance providers, please reach out to our team. We're continually working to expand our network and may be able to accommodate your coverage. Our dedicated staff will assist you in exploring alternative options and finding the best solution for your orthotics and prosthetics needs.

    • Can I receive prosthetics & orthotics services without insurance?

      Yes, you can still receive services at PrimeCare Orthotics & Prosthetics even if you don't have health insurance or coverage. We offer self-pay options for patients without insurance. Our team will work with you to establish transparent pricing and discuss the available payment methods, such as credit cards, debit cards, or cash. We strive to make our services and prosthetic care accessible to all patients, regardless of their insurance status.

    • How can I request a cost estimate?

      Requesting a cost estimate is easy at PrimeCare Orthotics & Prosthetics. Simply contact our office, and our knowledgeable staff will guide you through the process. We'll gather the necessary information about your specific orthotics or prosthetics needs and provide you with a detailed cost estimate. This will give you a clear idea of the expected expenses and help you plan accordingly.